Speaker Notes for a provided ppt (Editing Sample)

Final Project Speaker Notes Cover Slide Hi and Welcome Slide 2 – Introduction to the Community Bakersfield is a mid-sized city in Central California with a diverse and growing population. As of 2023, it is home to over 410,000 people. Among these, a significant portion are elderly residents who live on fixed incomes and face various barriers to healthcare access. The city displays marked contrasts between wealthier and poorer neighborhoods, making it a relevant location for studying public health disparities. This project focuses on elderly low-income residents who are disproportionately affected by issues such as chronic illness, poor nutrition, and social isolation. Slide 3 – Target Population Characteristics The target population comprises elderly individuals aged 65 and older, living on limited income. These residents are often dependent on Social Security or Supplemental Security Income (SSI) and may struggle to afford basic needs such as food, housing, or medication. Social isolation is common, and many face mobility issues that make transportation to healthcare facilities difficult. Chronic illnesses like diabetes, hypertension, and arthritis are prevalent but often poorly managed. These conditions are exacerbated by inadequate access to nutritious food, preventive care, and social support services. Slide 4 – Comparison: Sentinel City vs. Bakersfield This table compares demographic data between Sentinel City and Bakersfield. While Bakersfield has a smaller population, the proportion of elderly residents is comparable. The racial makeup differs slightly, with Bakersfield having a higher percentage of White residents. Median household income is slightly higher in Bakersfield, but both cities share socioeconomic inequalities that contribute to health disparities. These similarities make Sentinel City a useful model for identifying community-level interventions applicable to Bakersfield’s low-income elderly population. Slide 5 – Health Concern 1: Chronic Disease Management Chronic disease is one of the most pressing health concerns for elderly low-income residents. Conditions like hypertension, arthritis, and diabetes are common but often go unmanaged. Many individuals avoid seeking care due to financial barriers, and some skip necessary medications to save money. Lack of regular check-ups exacerbates their conditions, leading to higher emergency department utilization. Public health efforts must focus on providing affordable, accessible chronic disease management services to improve long-term health outcomes. Slide 6 – Health Concern 2: Food Insecurity Food insecurity is a significant issue among the elderly, particularly in underserved neighborhoods like Industrial Heights. Many do not have nearby grocery stores that offer healthy, affordable food. As a result, they often consume low-nutrient, high-sodium foods, which further deteriorate their health. Chronic diseases like hypertension and diabetes are directly affected by poor diet. Transportation barriers also limit their ability to shop elsewhere. Addressing food insecurity is essential to improving nutrition and overall health for this group. Slide 7 – Health Concern 3: Social Isolation Social isolation contributes heavily to poor mental and physical health outcomes. Many elderly individuals live alone and have limited family or community support. They may feel disconnected from the outside world, especially if they lack access to the internet or a phone. Social isolation has been linked to depression, anxiety, cognitive decline, and even premature death. Public health strategies should include increasing community engagement opportunities to combat loneliness and support mental well-being in older adults. Slide 8 – Healthy People 2030 Objectives Healthy People 2030 outlines key objectives relevant to our target population. For example, OA-01 encourages increased physical activity, which can help manage chronic conditions. NWS-14 addresses food insecurity, and AHS-07 focuses on improving healthcare access. These objectives provide a national framework for building effective interventions. Integrating these goals into our community strategy ensures alignment with broader public health priorities and helps guide the development and evaluation of our proposed programs. Slide 9 – Community Health Nursing Diagnosis The formulated community health nursing diagnosis is: “Increased risk of chronic disease complications among elderly low-income residents in Bakersfield related to limited access to transportation and healthcare services as demonstrated by high rates of emergency department visits and poor chronic disease management.” This diagnosis highlights the barriers preventing proper health maintenance in this population. Social determinants like income, housing, and mobility directly affect their ability to engage in preventive health practices. Addressing these root causes is essential for effective public health intervention. Slide 10 – Existing Public Health Intervention One existing evidence-based intervention is the Chronic Disease Self-Management Program (CDSMP), developed by Stanford and supported by the CDC. It’s a peer-led program that helps elderly individuals manage chronic conditions through education, goal-setting, and support. The program has shown effectiveness in lowering hospitalization rates and improving self-care behaviors. It’s scalable and available through many local agencies, including Area Agencies on Aging, but needs adaptation to meet the specific transportation and outreach needs of elderly low-income residents in Bakersfield. Slide 11 – Proposed Community-Level Intervention Our proposed intervention builds on the CDSMP by offering mobile and telehealth options. Collaborations with local churches, libraries, and community centers will allow for in-person sessions with free transportation vouchers. We’ll incorporate bilingual coaching and include components on healthy eating and social interaction. This adapted approach ensures accessibility, relevance, and cultural competence for the population. Targeting underserved neighborhoods like Industrial Heights will allow us to reach the most vulnerable elderly residents. Slide 12 – Goals, Objectives, and Requi...